Robotic-assisted laparoendoscopic single-site total omentectomy

Article information

Gyne Robot Surg. 2020;1(1):27-27
Publication date (electronic) : 2019 October 22
doi : https://doi.org/10.36637/grs.2019.00024
Department of Obstetrics & Gynecology, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea
Correspondening author: Keun Ho Lee Department of Obstetrics & Gynecology, Seoul St. Mary’s Hospital, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea E-mail: hohoho@catholic.ac.kr
Received 2019 October 16; Revised 2019 October 18; Accepted 2019 October 18.

Abstract

Objective

We report two cases of robotic-assisted laparoendoscopic single site (R-LESS) total omentectomy for early stage ovarian cancer in young patients.

Methods

Case 1. A 25-year-old woman was referred for Lt. ovarian serous borderline tumor diagnosed by LESS ovarian cystectomy. Ascites cytology exam revealed serous borderline tumor as well. On imaging studies, metastatic tumor was not observed. She was planned to receive R-LESS fertility- sparing staging surgery. Case 2. A 31-year-old woman was diagnosed with Rt. ovarian tumor during her regular gynecologic check-up. Pelvic MRI showed A 2.8cm sized cystic and solid tumor without evidence of metastasis. She underwent LESS Rt. ovarian cystectomy. Serous borderline tumor was diagnosed, so we converted to R-LESS fertility-sparing staging surgery.

Results

Under Da-Vinci Xi single-site system, we were able to rotate the boom 180 degrees and perform total omentectomy. The operation time was 25 minutes and 27 minutes, respectively. There was almost no bleeding. Perioperative complications did not occur.

Conclusion

As previously reported, R-LESS staging surgery for ovarian malignant tumor is feasible in selected cases. As part of the procedure, we could demonstrate two cases of total omentectomy without complications.

Supplementary Material

Video.

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